Organization
PRINCE CHARLES HOME HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHUNNA HALEY BAULDWIN (ADMINISTRATOR)
(434) 835-0124
Entity
Organization
Contact information
Practice address
110 EXCHANGE ST STE F, DANVILLE, VA 24541
(434) 835-0124
(434) 835-0171
Mailing address
110 EXCHANGE ST STE F, DANVILLE, VA 24541-3500
(434) 835-0171
(434) 835-0171
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
06/12/2018
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